Individual provider Active NPI

Anna M. Priebe, M.D.

  • Gynecologic Oncology Physician
  • Tyler, TX
National Provider Identifier
1386765501
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME113651 Issued in FL
Practice address
501 Saunders Ave Ste 310
Tyler, TX 75702-7524
Phone
(903) 579-9800
Fax
(903) 592-5988
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15390 NH
Gynecologic Oncology Physician 207VX0201X ME113651 FL Primary

Addresses

Primary practice location

501 Saunders Ave Ste 310
Tyler, TX 75702-7524

Mailing address

PO Box 911230
Dallas, TX 75391
Phone (972) 997-8000

Other practice location 1

4800 NE Stallings Dr Ste 1500
Nacogdoches, TX 75965-1207
Phone (936) 800-1700

Other practice location 2

1400 N 4th St
Longview, TX 75601-4756
Phone (903) 757-2122

Other identifiers 4

IdentifierTypeStateIssuer
P01988091OtherFLRAILROAD MEDICARE
005955200MedicaidFL
14N1EOtherFLFLORIDA BLUE
GJ396YOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190824000464 TX Practitioner - Gynecological Oncology 0345317012 Reassigns benefits to 1 organization
I20190829002830 WI Practitioner - Gynecological Oncology 0345317012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

910 E Houston St
Suite 100
Tyler, TX 75702-8363
Phone (903) 579-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113651FLMDGynecologic Oncology Physician
7299SDMDInpatient Hospice

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Aug 26, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 26, 2019 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 17, 2019 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Texas Oncology PA Gynecologic Oncology CurrentSince Oct 1, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 26, 2019 Accepting new patients
Texas Oncology PA Gynecologic Oncology CurrentSince Oct 1, 2019 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1400 N 4th St
Longview, TX 75601
Phone (903) 753-3331

4800 NE Stallings Dr
Ste 1500
Nacogdoches, TX 75965
Phone (936) 715-9470

501 Saunders Ave
Ste 310
Tyler, TX 75702

910 E Houston St
Ste 100
Tyler, TX 75702
Phone (903) 606-8718

501 Saunders Ave
Ste 200
Tyler, TX 75702
Phone (903) 579-9844

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: anna.priebe@txo.ikm.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1386765501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75391",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SAUNDERS AVE STE 310",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027524",
            "telephone_number": "903-579-9800",
            "fax_number": "903-592-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 NE Stallings Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759651207",
            "country_code": "US",
            "telephone_number": "936-800-1700",
            "fax_number": "936-800-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756014756",
            "country_code": "US",
            "telephone_number": "903-757-2122",
            "fax_number": "903-757-9475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "ANNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "15390",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME113651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01988091",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005955200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14N1E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GJ396Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.